07-005648PL
Department Of Financial Services vs.
Odalys Calvo
Status: Closed
Recommended Order on Thursday, July 24, 2008.
Recommended Order on Thursday, July 24, 2008.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8DEPARTMENT OF FINANCIAL SERVICES, )
13)
14Petitioner, )
16)
17vs. ) Case No. 07-5648PL
22)
23ODALYS CALVO, )
26)
27Respondent. )
29__________________________________)
30RECOMMENDED ORDER
32Pursuant to notice, a hearing was conducted in this case
42pursuant to Sections 120.569 and 120.57(1), Florida Statutes, 1
51before Stuart M. Lerner, a duly-designated Administrative Law
59Judge of the Division of Administrative Hearings (DOAH), on
68March 25, 2008, by video teleconference at sites in Miami and
79Tallahassee, Florida.
81APPEARANCES
82For Petitioner: W. Gautier Kitchen, Esquire
88Department of Financial Services
92Division of Legal Services
96612 Larson Building
99200 East Gaines Street
103Tallahassee, Florida 32399-0333
106For Respondent: Odalys Calvo, pro se
1123064 Southwest 156th Place
116Miami , Florida 33185
119STATEMENT OF THE ISSUE
123Whether Respondent committed the violations alleged in the
131Administrative Complaint issued against her and, if so, what
140penalty should be imposed.
144PRELIMINARY STATEMENT
146On November 7, 2007, the Department of Financial Services
155(Department) issued an eleven-count Administrative Complaint
161against Respondent, notifying her that, based on the allegations
170of wrongdoing made therein, it "intend[ed] to enter an Order
180suspending or revoking [her] licenses and appointments as an
189insurance agent or impose such penalties as may be provided
199under [the law]." In the first ten counts of the Administrative
210Complaint, the Department alleged that Respondent willfully and
218knowingly completed and submitted automobile insurance
224applications for ten customers (Blanca Duron (Count I);
232Brisaida Castillo (Count II); Ricardo Fernandez (Count III);
240Pedro Cruz, Sr. (Count IV); Pedro Cruz, Jr. (Count V); Arturo
251Fernandez (Count VI); Diamely Cosio (Count VII); Eulogio
259Martinez (Count VIII); Mariana Ruiz (Count IX); and Flor Miller
269(Count X)) that "contained false addresses of the applicants to
279indicate they resided in a different territory in order to
289obtain lower premium charges[s], thereby defrauding the insurer
297of the premium[s] [to which] it was entitled." In so doing,
308according to the allegations made by the Department in these ten
319counts of the Administrative Complaint, Respondent violated
326Section 626.611(4), (7), (9), and (13), Florida Statutes;
334Section 626.621(2), (3), and (6), Florida Statutes; and Section
343626.9541(1)(k)1, Florida Statutes. The eleventh and final count
351of the Administrative Complaint alleged that, "[a]cting in the
360capacity of president, owner, operator, sole officer, and
368registered agent of O.D.C. Insurance Services, Inc. d/b/a
376Allstate Insurance Agency[,] since on or before September 17,
3862005, [Respondent] failed to have [her] insurance agency
394licensed," in violation of Section 626.112(7)(a), Florida
401Statutes; Section 626.611(13), Florida Statutes; and Section
408626.621(2) and (3), Florida Statutes.
413On or about November 26, 2007, Respondent, through counsel,
422filed a written request for "a proceeding to contest this action
433pursuant to Sections 120.569 and 120.57(1)," Florida Statutes.
441On December 11, 2007, the matter was referred to DOAH. Among
452the documents the Department transmitted to DOAH was a Motion to
463Dismiss Administrative Complaint that it had received from
471Respondent. This motion was denied by the previously assigned
480administrative law judge on January 14, 2008.
487On February 19, 2008, Respondent's counsel of record filed
496a motion seeking permission to withdraw as her counsel. As
506required by Florida Administrative Code Rule 28-106.105(3), a
514copy of the motion was served on Respondent. By order issued
525February 25, 2008 (a copy of which was mailed to Respondent),
536the motion was granted.
540As noted above, the final hearing in this case was held on
552March 25, 2008. 2
556At the outset of the hearing, counsel for the Department
566announced that the Department was voluntarily dismissing Counts
574VI, VII, IX, and X of the Administrative Complaint.
583Eight witnesses testified at the hearing: Blanca Duron;
591Brisaida Castillo; Ricardo Fernandez; Pedro Cruz, Sr.;
598Pedro Cruz, Jr.; Eulogio Martinez; Dania Darbouze; and
606Respondent. In addition to these eight witnesses' testimony, 47
615exhibits (Petitioner's Exhibits 1 through 21, 29 through 32, and
62547 through 69) were offered and received into evidence.
634Upon the unopposed request of Respondent, the deadline for
643the filing of proposed recommended orders was set at 30 days from
655the date of the filing with DOAH of the hearing transcript.
666The hearing Transcript (consisting of one volume) was filed
675with DOAH on April 4, 2008.
681The Department filed its Proposed Recommended Order on
689April 18, 2008.
692On April 28, 2008, Respondent filed a motion requesting an
702extension of time to file her proposed recommended order. In
712her motion, she asserted that she needed the additional time
"722because [she had] been in the hospital since 4-7-08" and would
733remain there indefinitely. On April 30, 2008, the undersigned
742issued an order granting Respondent's motion and giving her
751until May 28, 2008, to file her proposed recommended order.
761On May 27, 2008, Respondent filed a motion seeking a
771further extension of time (of eight months to a year) to file
783her proposed recommended order. She asserted in her motion that
793she needed this additional time "because of the condition in
803[her] personal life." Attached to the motion was a letter,
813dated May 14, 2008, from a physician on the staff at Baptist
825Hospital of Miami. The letter indicated that Respondent had
834given birth prematurely to twins at the hospital on April 19,
8452008; that one of the twins, unfortunately, had passed away on
856April 30, 2008; and that the surviving twin remained in the
867hospital's neonatal intensive care unit in critical condition.
875The letter went on to state that it was "very important for
887[Respondent] to be present with [the surviving twin] at the
897hospital," where he was expected to remain "until at least
907August." On June 2, 2008, the undersigned issued an Order,
917which provided as follows:
921Upon consideration, Respondent is hereby
926granted until Monday, July 14, 2008, to file
934her proposed recommended order. This 47-day
940extension of time should be sufficient to
947enable Respondent to either prepare and file
954her proposed recommended order herself or
960have an attorney or qualified representative
966do so on her behalf. To the extent that
975Respondent is requesting an extension of
981time greater than 47 days, the request is
989denied.
990On July 14, 2008, Respondent filed a pleading she herself
1000prepared. 3 In it, she addressed the merits of the charges
1011against her, claiming that she was "innocent" and that the
1021Department's witnesses had "lie[d] under oath."
1027FINDINGS OF FACT
1030Based on the evidence adduced at hearing, and the record as
1041a whole, the following findings of fact are made:
1050Licensure
10511. Respondent has held a Florida 2-20 general lines
1060(property and casualty) insurance agent license since July 24,
10691998, and a Florida 2-15 life (including variable annuity and
1079health) insurance agent license since August 17, 2005.
1087Facts Common to Counts I through V and VIII
10962. At all times material to Counts I through V and VIII of
1109the Administrative Complaint, Respondent was employed by O. J.
1118Insurance (O. J.), a Miami insurance agency she had previously
1128owned for approximately 15 years before having sold it in
1138January 2003.
11403. Respondent went to work for O. J.'s new owners in or
1152around June 2003.
11554. She remained an employee of the agency for
1164approximately two years.
11675. During this two-year period, Respondent was the only
1176licensed insurance agent at the agency. The agency's two other
1186employees (one of whom was Respondent's sister, Sonia Pupo) held
1196Florida 4-40 customer representative licenses.
12016. Respondent and the agency's two customer
1208representatives were all salaried employees. None of them
1216received a commission.
12197. The agency itself, however, received commissions from
1227the insurance companies whose policies it sold.
12348. Respondent's performance as an employee of the agency
1243was evaluated on an annual basis. Among the factors considered
1253in the evaluation process was Respondent's productivity (that
1261is, the number of insurance policies she sold).
12699. After her first year as an employee of the agency,
1280Respondent received a salary increase based upon the annual
1289evaluation she had received.
1293Facts Relating to Count I
129810. On or about December 30, 2003, Blanca Duron went to
1309O. J., where she purchased automobile insurance from United
1318Automobile Insurance Company (United) through Respondent.
132411. Respondent filled out the insurance application for
1332Ms. Duron.
133412. On the application, Respondent put down that
1342Ms. Duron's address was 5205 Southwest 140th Place, Miami,
1351Florida, knowing that this was not Ms. Duron's correct address.
136113. Ms. Duron actually resided on Southwest 7th Street in
1371Miami.
137214. At no time did she ever tell Respondent that she lived
1384at 5205 Southwest 140th Place, Miami, Florida.
139115. 5205 Southwest 140th Place, Miami, Florida, was in a
"1401territory" having lower insurance rates than the "territory" in
1410which Ms. Duron actually lived.
141516. Respondent's purpose in falsifying Ms. Duron's address
1423on the application was to enable Ms. Duron to pay a lower
1435premium than United would have charged had her correct address
1445been entered on the application.
1450Facts Relating to Count II
145517. On or about December 6, 2004, Brisaida Castillo went
1465to O. J., where she purchased automobile insurance from United
1475through Respondent.
147718. Respondent filled out the insurance application for
1485Ms. Castillo.
148719. Respondent put down on the application that
1495Ms. Castillo's address was 5205 Southwest 140th Place, Miami,
1504Florida, knowing that this was not Ms. Castillo's correct
1513address.
151420. Ms. Castillo actually resided on Northwest 22nd Court
1523in Miami.
152521. At no time did she ever tell Respondent that she lived
1537at 5205 Southwest 140th Place, Miami, Florida.
154422. 5205 Southwest 140th Place, Miami, Florida, was in a
"1554territory" having lower insurance rates than the "territory" in
1563which Ms. Castillo actually lived.
156823. Respondent's purpose in falsifying Ms. Castillo's
1575address on the application was to enable Ms. Castillo to pay a
1587lower premium than United would have charged had her correct
1597address been entered on the application.
1603Facts Relating to Count III
160824. On or about December 10, 2004, Ricardo Fernandez went
1618to O. J., where he purchased automobile insurance from United
1628through Respondent.
163025. Respondent filled out the insurance application for
1638Mr. Fernandez.
164026. Respondent put down on the application that
1648Mr. Fernandez's address was 5205 Southwest 140th Place, Miami,
1657Florida, knowing that this was not Mr. Fernandez's correct
1666address.
166727. Mr. Fernandez actually resided on Essex Avenue in
1676Hialeah, Florida.
167828. At no time did he ever tell Respondent that he lived
1690at 5205 Southwest 140th Place, Miami, Florida.
169729. 5205 Southwest 140th Place, Miami, Florida, was in a
"1707territory" having lower insurance rates than the "territory" in
1716which Mr. Fernandez actually lived.
172130. Respondent's purpose in falsifying Mr. Fernandez's
1728address on the application was to enable Mr. Fernandez to pay a
1740lower premium than United would have charged had his correct
1750address been entered on the application.
1756Facts Relating to Count IV
176131. On or about February 1, 2005, Pedro Cruz, Sr., went to
1773O. J., where he purchased automobile insurance from United.
178232. It is unclear from the record whether it was
1792Respondent or her sister, Ms. Pupo, who filled out Mr. Cruz,
1803Sr.'s insurance application. 4
180733. The application indicated that Mr. Cruz, Sr.'s address
1816was 5205 Southwest 140th Place, Miami, Florida.
182334. This was not his correct address.
183035. He actually resided on Northwest 18th Street in Miami.
184036. At no time did he ever tell Respondent that he lived
1852at 5205 Southwest 140th Place, Miami, Florida.
185937. 5205 Southwest 140th Place, Miami, Florida, was in a
"1869territory" having lower insurance rates than the "territory" in
1878which Mr. Cruz, Sr., actually lived.
188438. Consequently, Mr. Cruz, Sr., paid a lower premium than
1894United would have charged had his correct address been entered
1904on the application.
1907Facts Relating to Count V
191239. On or about December 6, 2004, Pedro Cruz, Jr., went to
1924O. J., where he purchased automobile insurance from United
1933through Respondent.
193540. Respondent filled out the insurance application for
1943Mr. Cruz, Jr.
194641. Respondent put down on the application that Mr. Cruz,
1956Jr.'s address was 5521 Southwest 163rd Court, Miami, Florida. 5
196642. Mr. Cruz, Jr., actually resided on Northwest 18th
1975Street in Miami.
197843. At no time did he ever tell Respondent that he lived
1990at 5521 Southwest 163rd Court, Miami, Florida. 6
1998Facts Relating to Count VIII
200344. On or about February 3, 2005, Eulogio Martinez went to
2014O. J., where he purchased automobile insurance from United
2023through Respondent.
202545. Respondent filled out the insurance application for
2033Mr. Martinez.
203546. Respondent put down on the application that
2043Mr. Martinez's address was 5205 Southwest 142nd Place, Miami,
2052Florida.
205347. Mr. Martinez actually resided on Northwest 5th Street
2062in Miami.
206448. At no time did he ever tell Respondent that he lived
2076at 5205 Southwest 142nd Place, Miami, Florida. 7
2084Facts Relating to Count XI
208949. Since September 2005, O.D.C. Insurance Services, Inc.
2097(O.D.C.) has operated an insurance agency (selling Allstate
2105insurance products) at 13860 Southwest 56th Street in Miami,
2114Florida, for which it has not obtained a license.
212350. During this period of time, Respondent has been owner,
2133sole officer (president), and registered agent of O.D.C. and
2142responsible for the day-to-day operations of O.D.C.'s Allstate
2150insurance agency.
215251. At all times material to Count XI of the
2162Administrative Complaint, Respondent was unaware of the
2169requirement that insurance agencies, such as O.D.C.'s, be
2177licensed.
2178CONCLUSIONS OF LAW
218152. DOAH has jurisdiction over the subject matter of this
2191proceeding and of the parties hereto pursuant to Chapter 120,
2201Florida Statutes.
220353. "Chapters 624-632, 634, 635, 636, 641, 642, 648, and
2213651 constitute the 'Florida Insurance Code.'" § 624.01, Fla.
2222Stat.
222354. It is the Department's responsibility to "enforce the
2232provisions of this code." § 624.307(1), Fla. Stat.
224055. Among the Department's duties is to license and
2249discipline insurance agents.
225256. The Department is authorized to suspend or revoke
2261agents' licenses, pursuant to Sections 626.611 and 626.621,
2269Florida Statutes; to impose fines on agents of up to $500.00 or,
2281in cases where there are "willful violation[s] or willful
2290misconduct," up to $3,500, and to "augment[]" such disciplinary
2300action "by an amount equal to any commissions received by or
2311accruing to the credit of the [agent] in connection with any
2322transaction as to which the grounds for suspension, [or]
2331revocation . . . related," pursuant to Section 626.681, Florida
2341Statutes; to place agents on probation for up to two years,
2352pursuant to Section 626.691, Florida Statutes 8 ; and to order
2362agents "to pay restitution to any person who has been deprived
2373of money by [their] misappropriation, conversion, or unlawful
2381withholding of moneys belonging to insurers, insureds,
2388beneficiaries, or others," pursuant to Section 626.692, Florida
2396Statutes.
239757. The Department may take such disciplinary action
2405against an agent only after the agent has been given reasonable
2416written notice of the charges and an adequate opportunity to
2426request a proceeding pursuant to Sections 120.569 and 120.57,
2435Florida Statutes. See § 120.60(5), Fla. Stat.
244258. An evidentiary hearing must be held, if requested by
2452the agent, when there are disputed issues of material fact.
2462§§ 120.569 and 120.57(1), Fla. Stat.
246859. At the hearing, the Department bears the burden of
2478proving that the agent engaged in the conduct, and thereby
2488committed the violations, alleged in the charging instrument.
2496Proof greater than a mere preponderance of the evidence must be
2507presented for the Department to meet its burden of proof. Clear
2518and convincing evidence of the agent's guilt is required. See
2528Department of Banking and Finance, Division of Securities and
2537Investor Protection v. Osborne Stern and Company , 670 So. 2d 932,
2548935 (Fla. 1996); Beshore v. Department of Financial Services ,
2557928 So. 2d 411, 413 (Fla. 1st DCA 2006); Pou v. Department of
2570Insurance and Treasurer , 707 So. 2d 941 (Fla. 3d DCA 1998); and §
2583120.57(1)(j), Fla. Stat. ("Findings of fact shall be based upon a
2595preponderance of the evidence, except in penal or licensure
2604disciplinary proceedings or except as otherwise provided by
2612statute . . . .").
261860. Clear and convincing evidence is an "intermediate
2626standard," "requir[ing] more proof than a 'preponderance of the
2635evidence' but less than 'beyond and to the exclusion of a
2646reasonable doubt.'" In re Graziano , 696 So. 2d 744, 753 (Fla.
26571997). For proof to be considered "'clear and convincing' . . .
2669the evidence must be found to be credible; the facts to which
2681the witnesses testify must be distinctly remembered; the
2689testimony must be precise and explicit and the witnesses must be
2700lacking in confusion as to the facts in issue. The evidence
2711must be of such weight that it produces in the mind of the trier
2725of fact a firm belief or conviction, without hesitancy, as to
2736the truth of the allegations sought to be established." In re
2747Davey , 645 So. 2d 398, 404 (Fla. 1994), quoting, with approval,
2758from Slomowitz v. Walker , 429 So. 2d 797, 800 (Fla. 4th DCA
27701983); see also In re Adoption of Baby E. A. W. , 658 So. 2d 961,
2785967 (Fla. 1995)("The evidence [in order to be clear and
2796convincing] must be sufficient to convince the trier of fact
2806without hesitancy."). "Although this standard of proof may be
2816met where the evidence is in conflict, . . . it seems to
2829preclude evidence that is ambiguous." Westinghouse Electric
2836Corporation, Inc. v. Shuler Bros., Inc. , 590 So. 2d 986, 988
2847(Fla. 1st DCA 1991).
285161. In determining whether the Department has met its
2860burden of proof, it is necessary to evaluate its evidentiary
2870presentation in light of the specific allegations of wrongdoing
2879made in the charging instrument. Due process prohibits the
2888Department from taking disciplinary action against an agent
2896based on matters not specifically alleged in the charging
2905instrument, unless those matters have been tried by consent.
2914See Trevisani v. Department of Health , 908 So. 2d 1108, 1109
2925(Fla. 1st DCA 2005); Aldrete v. Department of Health, Board of
2936Medicine , 879 So. 2d 1244, 1246 (Fla. 1st DCA 2004); Shore
2947Village Property Owners' Association, Inc. v. Department of
2955Environmental Protection , 824 So. 2d 208, 210 (Fla. 4th DCA
29652002); Cottrill v. Department of Insurance , 685 So. 2d 1371,
29751372 (Fla. 1st DCA 1996); and Delk v. Department of Professional
2986Regulation , 595 So. 2d 966, 967 (Fla. 5th DCA 1992).
299662. The Administrative Complaint in the instant case
3004contains seven remaining counts: six counts (Counts I, II, III,
3014IV, V, and VIII) charging Respondent with violating Section
3023626.611(4), (7), (9), and (13), Florida Statutes; Section
3031626.621(3) and (6), Florida Statutes; and Section
3038626.9541(1)(k)1, Florida Statutes, by willfully and knowingly
3045completing and submitting automobile insurance applications that
"3052contained false addresses of the applicants to indicate they
3061resided in a different territory in order to obtain lower
3071premium charges[s], thereby defrauding the insurer of the
3079premium[s] [to which] it was entitled"; and one count (Count XI)
3090charging Respondent with having "failed to have [her] insurance
3099agency licensed," in violation of Section 626.112(7)(a), Florida
3107Statutes; Section 626.611(13), Florida Statutes; and Section
3114626.621(2) and (3), Florida Statutes.
311963. At all times material to the instant case, Section
3129626.611(4), (7), (9) and (13), Florida Statutes, has provided,
3138in pertinent part, as follows:
3143The department shall . . . suspend [or]
3151revoke . . . the license . . . of
3161any . . . agent . . . , and it shall suspend
3173or revoke the eligibility to hold a
3180license . . . of any such person, if it
3190finds that as to the . . . licensee . . .
3202any one or more of the following applicable
3210grounds exist:
3212* * *
3215(4) If the license . . . is willfully used,
3225or to be used, to circumvent any of the
3234requirements or prohibitions of this code.
3240* * *
3243(7) Demonstrated lack of fitness or
3249trustworthiness to engage in the business of
3256insurance.
3257* * *
3260(9) Fraudulent or dishonest practices in
3266the conduct of business under the
3272license . . . .
3277* * *
3280(13) Willful failure to comply with, or
3287willful violation of, any proper order or
3294rule of the department or willful violation
3301of any provision of this code.
330764. At all times material to the instant case, Section
3317626.621(2), (3) and (6), Florida Statutes, has provided, in
3326pertinent part, as follows:
3330The department may, in its discretion, . . .
3339suspend [or] revoke, . . . the license . . .
3350of any . . . agent . . . , and it may
3362suspend or revoke the eligibility to hold a
3370license . . . of any such person, if it
3380finds that as to the . . . licensee . . .
3392any one or more of the following applicable
3400grounds exist under circumstances for which
3406such . . . suspension [or] revocation . . .
3416is not mandatory under s. 626.611:
3422* * *
3425(2) Violation of any provision of this code
3433or of any other law applicable to the
3441business of insurance in the course of
3448dealing under the license or appointment.
3454* * *
3457(3) Violation of any lawful order or rule
3465of the department, commission, or office.
3471* * *
3474(6) In the conduct of business under the
3482license or appointment, engaging in unfair
3488methods of competition or in unfair or
3495deceptive acts or practices, as prohibited
3501under part IX of this chapter, or having
3509otherwise shown himself or herself to be a
3517source of injury or loss to the public.
352565. Among the "unfair methods of competition" and "unfair
3534or deceptive acts or practices, as prohibited under part IX of
3545[Chapter 626, Florida Statutes]" (referenced in Section
3552626.621(6), Florida Statutes) are those described in Section
3560626.9541(1)(k)1., Florida Statutes, which provides as follows:
3567UNFAIR METHODS OF COMPETITION AND UNFAIR OR
3574DECEPTIVE ACTS. --The following are defined
3580as unfair methods of competition and unfair
3587or deceptive acts or practices:
3592Misrepresentation in insurance applications.
3596Knowingly making a false or fraudulent
3602written or oral statement or representation
3608on, or relative to, an application or
3615negotiation for an insurance policy for the
3622purpose of obtaining a fee, commission,
3628money, or other benefit from any insurer,
3635agent, broker, or individual.
363966. Section 626.112(7)(a), Florida Statutes, provides as
3646follows:
3647Effective October 1, 2006, no individual,
3653firm, partnership, corporation, association,
3657or any other entity shall act in its own
3666name or under a trade name, directly or
3674indirectly, as an insurance agency, unless
3680it complies with s. 626.172 with respect to
3688possessing an insurance agency license for
3694each place of business at which it engages
3702in any activity which may be performed only
3710by a licensed insurance agent. Each agency
3717engaged in business in this state before
3724January 1, 2003, which is wholly owned by
3732insurance agents currently licensed and
3737appointed under this chapter, each
3742incorporated agency whose voting shares are
3748traded on a securities exchange, each agency
3755designated and subject to supervision and
3761inspection as a branch office under the
3768rules of the National Association of
3774Securities Dealers, and each agency whose
3780primary function is offering insurance as a
3787service or member benefit to members of a
3795nonprofit corporation may file an
3800application for registration in lieu of
3806licensure in accordance with s. 626.172(3).
3812Each agency engaged in business before
3818October 1, 2006, shall file an application
3825for licensure or registration on or before
3832October 1, 2006.
38351. If an agency is required to be licensed
3844but fails to file an application for
3851licensure in accordance with this section,
3857the department shall impose on the agency an
3865administrative penalty in an amount of up to
3873$10,000.
38752. If an agency is eligible for
3882registration but fails to file an
3888application for registration or an
3893application for licensure in accordance with
3899this section, the department shall impose on
3906the agency an administrative penalty in an
3913amount of up to $5,000.
391967. Because they are penal in nature, the foregoing
3928statutory provisions must be strictly construed, with any
3936reasonable doubts as to their meaning being resolved in favor of
3947the licensee. See Beckett v. Department of Financial Services ,
3956982 So. 2d 94, 100 (Fla. 1st DCA 2008)("[A]gencies are not
3968permitted to extend the requirements of [penal] statutes by
3977construction."); and Capital National Financial Corporation v.
3985Department of Insurance , 690 So. 2d 1335, 1337 (Fla. 3rd DCA
39961997)("Section 627.8405 is a penal statute and therefore must be
4007strictly construed . . . . 'When a statute imposes a penalty,
4019any doubt as to its meaning must be resolved in favor of a
4032strict construction so that those covered by the statute have
4042clear notice of what conduct the statute proscribes.'").
405168. An examination of the evidentiary record in this case
4061reveals that the Department clearly and convincingly proved that
4070Respondent violated Section 626.611(4), (7), (9), and (13),
4078Florida Statutes; Section 626.621(2), (3), and(6), Florida
4085Statutes; and Section 626.9541(1)(k)1, Florida Statutes, as
4092alleged in Counts I through III of the Administrative Complaint,
4102by willfully and knowingly completing and submitting automobile
4110insurance applications for Ms. Duron (Count I), Ms. Castillo
4119(Count II), and Mr. Fernandez (Count III) that "contained false
4129addresses of the applicants to indicate they resided in a
4139different territory in order to obtain lower premium charges[s],
4148thereby defrauding the insurer of the premium[s] [to which] it
4158was entitled."
416069. The Department failed to prove by clear and convincing
4170evidence that Respondent was the insurance agency employee who
4179completed and submitted Mr. Cruz, Sr.'s automobile insurance
4187application, as alleged in Count IV of the Administrative
4196Complaint. Accordingly, Count IV of the Administrative
4203Complaint (which is predicated upon the factual allegation that
4212Respondent had engaged in such conduct) must be dismissed. 9
422270. While record evidence establishes that Respondent
4229completed and submitted automobile insurance applications for
4236Mr. Cruz, Jr., and Mr. Martinez that "contained false
4245addresses," there is not clear and convincing proof that she did
4256so willfully and knowingly with the intent to defraud United, as
4267alleged in Counts V and VIII of the Administrative Complaint.
4277Accordingly, these counts of the Administrative Complaint must
4285too be dismissed.
428871. The Department also failed to establish Respondent's
4296guilt of the violations alleged in Count XI of the
4306Administrative Complaint. Although the Department's proof
4312clearly and convincingly established that O.D.C.'s Allstate
4319insurance agency has failed to obtain an insurance agency
4328license in violation of Section 626.112(7)(a), Florida Statutes,
4336it is the "agency" (that is, O.D.C., the corporate entity), not
4347Respondent, that is liable for this violation under the statute.
4357That Respondent has been, at all material times, the owner, sole
4368officer (president), and registered agent of O.D.C. and
4376responsible for its day-to-day operations is, standing alone, an
4385insufficient basis upon which to impose liability upon
4393Respondent. See Gasparini v. Pordomingo , 972 So. 2d 1053, 1055
4403(Fla. 3d DCA 2008)("A general principle of corporate law is that
4415a corporation is a separate legal entity, distinct from the
4425persons comprising them. To 'pierce the corporate veil' three
4434factors must be proven: (1) the shareholder dominated and
4443controlled the corporation to such an extent that the
4452corporation's independent existence, was in fact non-existent
4459and the shareholders were in fact alter egos of the corporation;
4470(2) the corporate form must have been used fraudulently or for
4481an improper purpose; and (3) the fraudulent or improper use of
4492the corporate form caused injury to the claimant. In this case,
4503none of these factors were alleged or proven. Moreover, the
4513mere fact that Gasparini is a stockholder and officer of
4523International Trading does not, without more, create personal
4531liability. The law is clear that the mere ownership of a
4542corporation by a few shareholders, or even one shareholder, is
4552an insufficient reason to pierce the corporate veil. '[E]ven if
4562a corporation is merely an alter ego of its dominant shareholder
4573or shareholders, the corporate veil cannot be pierced so long as
4584the corporation's separate identity was lawfully
4590maintained.'")(citations omitted). Accordingly, Count XI of the
4598Administrative Complaint must be dismissed.
460372. To determine the penalty the Department should impose
4612on Respondent for committing the violations alleged in Counts I
4622through III of the Administrative Complaint , it is necessary to
4632consult the Department's "penalty guidelines" set forth in
4640Florida Administrative Code Rule Chapter 69B-231, which impose
4648restrictions and limitations on the exercise of the Department's
4657disciplinary authority. See Parrot Heads, Inc. v. Department of
4666Business and Professional Regulation , 741 So. 2d 1231, 1233
4675(Fla. 5th DCA 1999)("An administrative agency is bound by its
4686own rules . . . creat[ing] guidelines for disciplinary
4695penalties."); cf . State v. Jenkins , 469 So. 2d 733, 734 (Fla.
47081985)("[A]gency rules and regulations, duly promulgated under
4716the authority of law, have the effect of law."); Buffa v.
4728Singletary , 652 So. 2d 885, 886 (Fla. 1st DCA 1995)("An agency
4740must comply with its own rules."); Decarion v. Martinez , 537 So.
47522d 1083, 1084 (Fla. 1st 1989)("Until amended or abrogated, an
4763agency must honor its rules."); and Williams v. Department of
4774Transportation , 531 So. 2d 994, 996 (Fla. 1st DCA 1988)(agency
4784is required to comply with its disciplinary guidelines in taking
4794disciplinary action against its employees).
479973. Florida Administrative Code Rule 69B-231.040 explains
4806how the Department goes about "[c]alculating [a] penalty." It
4815provides as follows:
4818(1) Penalty Per Count.
4822(a) The Department is authorized to find
4829that multiple grounds exist under Sections
4835626.611 and 626.621, F.S., for disciplinary
4841action against the licensee based upon a
4848single count in an administrative complaint
4854based upon a single act of misconduct by a
4863licensee. However, for the purpose of this
4870rule chapter, only the violation specifying
4876the highest stated penalty will be
4882considered for that count. The highest
4888stated penalty thus established for each
4894count is referred to as the "penalty per
4902count".
4904(b) The requirement for a single highest
4911stated penalty for each count in an
4918administrative complaint shall be applicable
4923regardless of the number or nature of the
4931violations established in a single count of
4938an administrative complaint.
4941(2) Total Penalty. Each penalty per count
4948shall be added together and the sum shall be
4957referred to as the "total penalty".
4964(3) Final Penalty.
4967(a) The final penalty which will be imposed
4975against a licensee under these rules shall
4982be the total penalty, as adjusted to take
4990into consideration any aggravating or
4995mitigating factors;
4997(b) The Department may convert the total
5004penalty to an administrative fine and
5010probation if the licensee has not previously
5017been subjected to an administrative penalty
5023and the current action does not involve a
5031violation of Section 626.611, F.S.;
5036(c) The Department will consider the
5042factors set forth in rule subsection 69B-
5049231.160(1), F.A.C., in determining whether
5054to convert the total penalty to an
5061administrative fine and probation.
5065(d) In the event that the final penalty
5073would exceed a suspension of twenty-four
5079(24) months, the final penalty shall be
5086revocation.
508774. Florida Administrative Code Rule 69B-231.080 is
5094entitled, "Penalties for Violation of Section 626.611." It
5102provides, in pertinent part, as follows:
5108If it is found that the licensee has
5116violated any of the following subsections of
5123Section 626.611, F.S., for which compulsory
5129suspension or revocation . . . is required,
5137the following stated penalty shall apply:
5143* * *
5146(4) Section 626.611(4), F.S. - suspension 6
5153months
5154* * *
5157(7) Section 626.611(7), F.S. - suspension 6
5164months
5165* * *
5168(9) Section 626.611(9), F.S. - suspension 9
5175months
5176* * *
5179(13) Section 626.611(13), F.S. - suspension
51856 months
518775. Florida Administrative Code Rule 69B-231.090 is
5194entitled, "Penalties for Violation of Section 626.621." It
5202provides, in pertinent part, as follows:
5208If it is found that the licensee has
5216violated any of the following subsections of
5223Section 626.621, F.S., for which suspension
5229or revocation of license(s) and
5234appointment(s) is discretionary, the
5238following stated penalty shall apply:
5243* * *
5246(2) Section 626.621(2), F.S. - suspension 3
5253months
5254(3) Section 626.621(3), F.S. - suspension 3
5261months
5262* * *
5265(6) Section 626.621(6), F.S. - see Rule
527269B-231.100, F.A.C.
527476. Florida Administrative Code Rule 69B-231.100 is
5281entitled, "Penalties for Violation of Subsection 626.621(6)."
5288It provides, in pertinent part, as follows:
5295If a licensee is found to have violated
5303subsection 626.621(6), F.S., by engaging in
5309unfair methods of competition or in unfair
5316or deceptive acts or practices as defined in
5324any of the following paragraphs of
5330subsection 626.9541(1), F.S., the following
5335stated penalty shall apply:
5339* * *
5342(11) Section 626.9541(1)(k), F.S. -
5347suspension 9 months
535077. In the instant case, the "penalty per count" for each
5361of Counts I through III of the Administrative Complaint is a
5372nine-month suspension, making the "total penalty" a 27-month
5380suspension.
538178. The "aggravating/mitigating factors" that must be
5388considered to determine whether any "adjust[ment]" should be
5396made to this "total penalty" are set forth in Florida
5406Administrative Code Rule 69B-231.160, which provides, in
5413pertinent part, as follows:
5417The Department shall consider the following
5423aggravating and mitigating factors and apply
5429them to the total penalty in reaching the
5437final penalty assessed against a licensee
5443under this rule chapter. After
5448consideration and application of these
5453factors, the Department shall, if warranted
5459by the Department's consideration of the
5465factors, either decrease or increase the
5471penalty to any penalty authorized by law.
5478(1) For penalties other than those assessed
5485under Rule 69B-231.150, F.A.C.:
5489(a) Willfulness of licensee's conduct;
5494(b) Degree of actual injury to victim;
5501(c) Degree of potential injury to victim;
5508(d) Age or capacity of victim;
5514(e) Timely restitution;
5517(f) Motivation of licensee;
5521(g) Financial gain or loss to licensee;
5528(h) Cooperation with the Department;
5533(i) Vicarious or personal responsibility;
5538(j) Related criminal charge; disposition;
5543(k) Existence of secondary violations in
5549counts;
5550(l) Previous disciplinary orders or prior
5556warning by the Department; and
5561(m) Other relevant factors.
556579. Examining the evidentiary record in the instant case
5574in light of these "aggravating/mitigating factors" results in
5582the conclusion that a decrease of the "total penalty" (which is
5593a suspension in excess of 24 months) is not warranted.
560380. Accordingly, the "final penalty" in the instant case,
5612pursuant to Florida Administrative Code Rule 69B-231.040(3)(d),
5619is the revocation of Respondent's licenses.
5625RECOMMENDATION
5626Based upon the foregoing Findings of Fact and Conclusions
5635of Law, it is hereby
5640RECOMMENDED that the Department issue a Final Order finding
5649Respondent guilty of the violations alleged in Counts I through
5659III of the Administrative Complaint, revoking her licenses for
5668having committed these violations, and dismissing the remaining
5676counts of the Administrative Complaint.
5681DONE AND ENTERED this 24th day of July, 2008, in
5691Tallahassee, Leon County, Florida.
5695S
5696___________________________________
5697STUART M. LERNER
5700Administrative Law Judge
5703Division of Administrative Hearings
5707The DeSoto Building
57101230 Apalachee Parkway
5713Tallahassee, Florida 32399-3060
5716(850) 488-9675 SUNCOM 278-9675
5720Fax Filing (850) 921-6847
5724www.doah.state.fl.us
5725Filed with the Clerk of the
5731Division of Administrative Hearings
5735this 24th day of July, 2008.
5741ENDNOTES
57421 / Unless otherwise noted, all references in this Recommended
5752Order to Florida Statutes are to Florida Statutes (2007).
57612 / The hearing was originally scheduled for February 14, 2008,
5772but was continued at Respondent's request.
57783 / Respondent explained in the pleading that she had not been
5790able to retain an attorney due to lack of funds.
58004 / At the final hearing, Mr. Cruz, Sr., gave internally
5811conflicting testimony on the matter.
58165 / In its Proposed Recommended Order, the Department asks the
5827undersigned to make a finding of fact that "Sonia Pupo resides
5838at 5521 Southwest 163rd Court in Miami, Florida." The only
5848record evidence concerning Ms. Pupo's residence --a printout of
5857the result of a November 16, 2006 www.whitepages.com search
5866showing that she resided at that address-- constitutes hearsay
5875evidence. Inasmuch as it has not been shown that this evidence
5886would have been admissible over objection in a civil proceeding
5896in Florida (under Section 90.803(17), Florida Statutes, or any
5905other exception to the rule excluding hearsay evidence), it is
5915insufficient to support a finding of fact in this administrative
5925proceeding. See § 120.57(1)(c)("Hearsay evidence may be used
5934for the purpose of supplementing or explaining other evidence,
5943but it shall not be sufficient in itself to support a finding
5955unless it would be admissible over objection in civil
5964actions."). Moreover, this evidence only addresses Ms. Pupo's
5973residency as of the date of the www.whitepages.com search--
5982November 16, 2006.
59856 / The evidentiary record does not support a finding that 5521
5997Southwest 163rd Court, Miami, Florida, was in a "territory"
6006having lower insurance rates than the "territory" in which
6015Mr. Cruz, Jr., actually lived.
60207 / The evidentiary record does not support a finding that 5205
6032Southwest 14 2 nd Place, Miami, Florida, was in a "territory"
6043having lower insurance rates than the "territory" in which
6052Mr. Martinez actually lived.
60568 / The Department may impose a fine or place an agent on
6069probation "in lieu of" suspension or revocation of the agent's
6079license " except on a second offense or when . . . suspension
6091[or] revocation . . . is mandatory." §§ 626.681 and 626.691,
6102Fla. Stat.
61049 / The Department suggests in its Proposed Recommended Order
6114that Respondent can be held responsible for any wrongdoing
6123engaged in by her sister and the agency's other customer
6133representative in completing and processing insurance
6139applications, apparently relying on Section 626.7354(5), Florida
6146Statutes, which provides that "[a]ll business transacted by a
6155customer representative under his or her license shall be in the
6166name of the agent or agency by which he or she is appointed, and
6180the agent or agency shall be responsible and accountable for all
6191acts of the customer representative within the scope of such
6201appointment." Such a theory, however, cannot support a finding
6210of guilt in the instant case inasmuch as it was not advanced in
6223the Administrative Complaint. See Department of Insurance and
6231Treasurer v. Gottlieb , No. 92-1902, 1993 Fla. Div. Adm. Hear.
6241LEXIS 5893 *6 (Fla. DOAH 1993)(Recommended Order)("Agencies
6249cannot take disciplinary action against a licensee on the basis
6259of facts not alleged in the Administrative Complaint on or the
6270basis of legal theories not asserted in the Administrative
6279Complaint.").
6281COPIES FURNISHED :
6284W. Gautier Kitchen, Esquire
6288Department of Financial Services
6292Division of Legal Services
6296612 Larson Building
6299200 East Gaines Street
6303Tallahassee, Florida 32399-0333
6306Odalys Calvo,
63083064 Southwest 156th Place
6312Miami , Florida 33185
6315Honorable Alex Sink
6318Chief Financial Officer
6321Department of Financial Services
6325The Capitol, Plaza Level 11
6330Tallahassee, Florida 32399-0300
6333Daniel Sumner, General Counsel
6337Department of Financial Services
6341The Capitol, Plaza Level 11
6346Tallahassee, Florida 32399-0307
6349NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
6355All parties have the right to submit written exceptions within
636515 days from the date of this Recommended Order. Any exceptions
6376to this Recommended Order should be filed with the agency that
6387will issue the Final Order in this case.
- Date
- Proceedings
- PDF:
- Date: 07/24/2008
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
- PDF:
- Date: 07/14/2008
- Proceedings: Letter to Judge Lerner from O. Abad regarding request for extension of time filed.
- PDF:
- Date: 06/02/2008
- Proceedings: Order Granting Extension of Time (proposed recommended to be filed by July 14, 2008).
- PDF:
- Date: 05/27/2008
- Proceedings: Letter to Judge Lerner from O. Castillo regarding request for extension of time filed.
- PDF:
- Date: 04/30/2008
- Proceedings: Order Granting Extension of Time (Respondent shall file her proposed recommended order by May 28, 2008).
- PDF:
- Date: 04/28/2008
- Proceedings: Letter to Judge Sartin from O. Calvo regarding request for time filed.
- Date: 04/04/2008
- Proceedings: Transcript of Proceedings filed.
- Date: 03/25/2008
- Proceedings: CASE STATUS: Hearing Held.
- PDF:
- Date: 03/20/2008
- Proceedings: Petitioner`s Exhibit List (exhibits not available for viewing) filed.
- PDF:
- Date: 02/25/2008
- Proceedings: Order Granting Defendant`s [sic] Counsel [sic] Motion to Withdraw.
- PDF:
- Date: 01/23/2008
- Proceedings: Order Granting Continuance and Re-scheduling Hearing by Video Teleconference (hearing set for March 25, 2008; 9:30 a.m.; Miami and Tallahassee, FL).
- PDF:
- Date: 12/27/2007
- Proceedings: Notice of Hearing by Video Teleconference (hearing set for February 14, 2008; 9:30 a.m.; Miami and Tallahassee, FL).
Case Information
- Judge:
- STUART M. LERNER
- Date Filed:
- 12/11/2007
- Date Assignment:
- 03/20/2008
- Last Docket Entry:
- 09/18/2008
- Location:
- Miami, Florida
- District:
- Southern
- Agency:
- ADOPTED IN TOTO
- Suffix:
- PL
Counsels
-
Odalys Calvo
Address of Record -
William Gautier Kitchen, Esquire
Address of Record